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Putting together the pieces of a Career Development Award
Allan J. Walkey, MD, MSc
Career Development Awards (CDA)
• NIH K series: K01, K08, K23
• AHRQ
• Foundation: RWJ, Doris Duke, AHA, ATS…
• Institutional: KL2
Start from the End
• How are “they” judging your application?
Strengths Weaknesses
First, Readability
• Grant reviewers will be reading many applications
• Make yours Easy, Simple and Clear!
• If they don’t understand it…they won’t fund it
The 5 Judging Criteria
1. The Candidate
2. Career Development/Mentoring Plan
3. The Team: Mentors, Co-mentors, collaborators
4. Research Plan
5. Environment
1. The Candidate (you!)
• Who are you and why do you want to do this?
• There are 3 sections devoted to this ?
1. Candidate Background
2. NIH Biosketch
3. Career Goals and Objectives
Candidate Background
• One page to summarize your past:
– Why are you interested in this topic? “I became interested in investigating AF during sepsis after observing…”
– Key events on road leading to this moment “My interest in epidemiology and comparative effectiveness research began soon after college….”
– Why you can be successful “…our multidisciplinary team has already produced high quality, novel investigations with direct clinical relevance….”
NIH Biosketch
• You will need one of these for any grant
Career Goals and Objectives
• Candidate background looks to the past…
• Career Goals and Objectives to the future
• One paragraph “My career objective is to use specific skills gained through the K01 Mentored Career Development Award to …”
“The training and mentorship gained through conduct of my research proposal will provide me with…”
“as part of a future R01 application, I plan to…”
2. Mentoring/Career Development Plan
Career Development and Training During the Award Period
WHAT Will you be doing?
When will you do it?
3. The Team
• A different criterion from mentorship plan!
• Thus choice of your mentor(s) is the most important part of the K: it’s scored twice
• Mentors and collaborators need to write statements of support
Specific Aims
• The introduction to your Research Plan
• Paragraph to introduce your plan
• Bullets for each Aim
• Paragraph to conclude
– Why you can do this, where it lead
4. Research Plan
• What you will spend the most time on
• Remember, weighted same as other parts!
• Three Sections to Research Plan
1. Significance
2. Innovation
3. Approach
Readability II
• Figures, Graphs, Tables are always better than Words
• Have a Conceptual Model
• Use Figures from your past work to illustrate where you need to go next
Significance
• Why is your proposal important? “The proposed research plan directly addresses the goals of the National Institutes of Health, National Heart Lung and Blood Institute Workshop on Research Directions…”
• This is where you put the basic epi/stats
• This is where you explain the knowledge gap you will address
“Projects such as ours that seek to decrease knowledge gaps regarding AF in sepsis have the potential for substantial public health impact. “
Innovation
• Why is your proposal different? “Our innovative proposal brings together a multi-disciplinary team with diverse clinical and research backgrounds to investigate novel questions using complementary data sources.”
Approach
• What you specifically will be doing with the $
• For each Aim, Describe in detail:
– Data sources
– Hypotheses
– How you will test the hypotheses/Statistical Plan
– POWER CALCULATIONS under various scenarios
Strengths and Limitations
• It is better that you, and not the Reviewer, identify the limitations
• Describe how you will address the limitations
“Confounding by indication: we will pursue multiple methods to address confounding, but residual confounding by indication, unmeasured covariates, or unclear severity of measured covariates may be present. In manuscripts we will acknowledge that residual confounding cannot be excluded.”
Future Directions
• Where will the CDA take you? “At the end of the 5-year Career Development Award, Dr. Walkey will have established a clinical epidemiology and observational comparative effectiveness research program investigating AF during sepsis.“
• Be specific “In order to further expand the research program, Dr. Walkey will also apply for R03 funding through the National Institute on Aging in year 3…”
“…data generated from the current proposal will lead to additional R01 applications in Year 5 to initiate…”
5. Environment
• Where will you be working?
• Do your bosses support you!?
Conclusion
• CDAs are a microcosm of your future as a scientist:
– Difficult, iterative work
– Team-Building
– Introspection
– Organization
– Clear presentation of ideas